{"results":[{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.8","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"95.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.0","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"84.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"92.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"72.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.0","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.3","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"86.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.6","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"82.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"86.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.8","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data source is vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022 State noted: \u0022The denominators for prenatal and postpartum care rates are slightly different because the state used vital records for the prenatal care rate and administrative data for the postpartum care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data source is vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022 State noted: \u0022The denominators for prenatal and postpartum care rates are slightly different because the state used vital records for the prenatal care rate and administrative data for the postpartum care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"85.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"90.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data and supplement data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data and supplement data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data and supplement data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data and supplement data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations. State reported the following variation: \u0022Alabama Medicaid Policy requires that when a chlamydia test is performed at the same time as another STI test, the comprehensive code CPT 87801 must be used. State, therefore, included CPT 87801 in the numerator compliant value set for rate determination.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"97.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"98.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.8","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Separate CHIP claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"93.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population and this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"46.1","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"50.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.1","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"54.3","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.7","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are much lower than actual immunizations due to difficulties matching members with vaccine data. VacTrAK reported data quality issues with their database specifically for the 2-year-olds. Additionally, there was a low number of matches between the MMIS and the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are much lower than actual immunizations due to difficulties matching members with vaccine data. VacTrAK reported data quality issues with their database specifically for the 2-year-olds. Additionally, there was a low number of matches between the MMIS and the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are much lower than actual immunizations due to difficulties matching members with vaccine data. VacTrAK reported data quality issues with their database specifically for the 2-year-olds. Additionally, there was a low number of matches between the MMIS and the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are much lower than actual immunizations due to difficulties matching members with vaccine data. VacTrAK reported data quality issues with their database specifically for the 2-year-olds. Additionally, there was a low number of matches between the MMIS and the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022There might be some underreporting due to the timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022State Medicaid providers use Current Procedural Terminology (CPT) code 96110 to bill for different types of developmental screening that might include Ages and Stages Questionnaires: Social Emotional (ASQ-SE) and Modified Checklist for Autism in Toddlers (M-CHAT) data, because state Medicaid does not yet have policy to use a modifier to identify when one of the eight National Quality Forum (NQF) endorsed standardized developmental screening tools has been used. For this reason, the use of modifiers was taken into account in compiling this measure. Claims filed with procedure code modifiers other than \u002233\u0022 were not included. There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are lower than actual immunizations due to difficulties matching members with the vaccine data stored in the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022State used two data sources for this measure, state suspects the reported numbers are lower than actual immunizations due to difficulties matching members with the vaccine data stored in the VacTrAK database. There also might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population. State noted: \u0022Lead screenings are usually not billed through Medicaid because the state lab does not bill third party payers. State expects numbers to be low because of this, as they have been in past years. There is some underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022There might be slight underreporting due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.9","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"22.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"74.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 8 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications.. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"62.2","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"62.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 8 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications.. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"#","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"79.6","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"79.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"86.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"30.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"33.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"60.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"59.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"69.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"23.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"23.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"27.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"20.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"20.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated. State reported the following variation: \u00222 out of 12 MCOs included non-global screenings.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"21.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated. State reported the following variation: \u00222 out of 8 MCOs included non-global screenings.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"38.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"38.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"43.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"84.9","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"84.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"87.9","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"33.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"33.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"38.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"59.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"59.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"59.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"54.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"54.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 9 of 12 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"56.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 8 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"53.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"70.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"71.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"83.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"82.7","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"78.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"78.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"77.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"77.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"74.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"76.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"75.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"61.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"82.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.9","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.8","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.3","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.5","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.1","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.6","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.5","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.1","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.2","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.9","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.9","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"52.8","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"5.2","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"5.1","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"84.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"83.6","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"21.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"10.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"10.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"85.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"85.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"88.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI), Other","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (31 MCOs). State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (31 MCOs). Rate was audited or validated. State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (31 MCOs). Rate was audited or validated. State noted: \u0022DHCS reported 31 managed care plans reported for this measure (6 dental plans + 25 MCPs) because some dental services are provided by PCPs\/office visits.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"47.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"52.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"60.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"72.0","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"72.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"64.5","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"68.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"43.8","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"60.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"74.6","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"66.2","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"65.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"64.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"85.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Response and Surveillance System for Childhood Lead Exposures (RASSCLE II).\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Response and Surveillance System for Childhood Lead Exposures (RASSCLE II).\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (1 MCO). Rate was audited or validated. State noted: \u0022The data are currently combined into Dental Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"61.1","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.5","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"72.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.8","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"64.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO and 7 PCCMs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.3","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"63.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"63.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was derived using both administrative and hybrid method data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"31.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"31.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"36.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"36.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"31.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"30.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"92.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"47.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"53.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"54.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"54.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"54.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.1","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"64.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population, which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"22.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"16.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"14.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"78.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"77.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"83.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"73.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"62.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"53.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"38.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"38.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"31.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"90.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"90.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"88.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"77.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"76.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"91.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"91.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"88.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"88.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"85.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"83.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"81.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"79.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.6","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"83.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"88.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.2","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.9","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.1","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"11.6","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"11.6","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.8","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"68.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.1","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates are weighted based on the measure eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"NA","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"60.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"60.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates are weighted based on the measure eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"NA","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"85.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"84.6","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"96.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"39.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"38.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"45.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"65.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"64.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"80.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"31.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"31.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"42.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"75.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"88.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"50.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"49.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"54.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"71.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"71.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"74.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"77.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"76.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"95.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"86.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"86.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"86.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"76.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"76.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"77.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"73.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"73.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"74.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated. State reported: \u0022The rates were weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (2 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (2 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"91.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"47.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.2","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"54.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.8","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.6","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.1","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.1","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.9","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"15.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"39.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"36.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan Claims System data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan Claims System data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan Claims System data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan Claims System data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"79.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"31.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"54.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"21.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"22.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"45.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"72.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"71.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"71.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 0-20.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (13 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (13 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (17 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (13 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"59.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"81.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.9","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.3","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.2","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"63.1","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.6","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.4","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.9","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (11 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.4","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"66.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"66.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 10 plans and FFS reported using the Hybrid methodology. 3 plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data source is vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 1 Florida Healthy Kids plan and Children\u0027s Medical Services Health Plan (CMSHP) reported using the Hybrid methodology. 2 Florida Healthy Kids plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"68.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 10 plans and FFS reported using the Hybrid methodology. 3 plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"#","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data source is vital records. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 1 Florida Healthy Kids plan and Children\u0027s Medical Services Health Plan (CMSHP) reported using the Hybrid methodology. 2 Florida Healthy Kids plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"84.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"84.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (10 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 9 plans and FFS reported using the Hybrid methodology. 1 plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"92.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"24.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"24.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (10 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 9 plans and FFS reported using the Hybrid methodology. 1 plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"32.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"65.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"65.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (10 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 9 plans and FFS reported using the Hybrid methodology. 1 plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"77.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"19.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"19.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (10 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 9 plans and FFS reported using the Hybrid methodology. 1 plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"32.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (13 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"24.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"24.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (11 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"34.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"38.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"38.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 8 plans and FFS reported using the Hybrid methodology. 5 plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"39.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 2 Florida Healthy Kids plans and Children\u0027s Medical Services Health Plan (CMSHP) reported using the Hybrid methodology. 1 Florida Healthy Kids plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"71.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"70.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 8 plans and FFS reported using the Hybrid methodology. 5 plans reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 2 Florida Healthy Kids plans and Children\u0027s Medical Services Health Plan (CMSHP) reported using the Hybrid methodology. 1 Florida Healthy Kids plan reported using the Administrative methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"68.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (11 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was derived using both administrative and hybrid method data. 9 plans reported using the Hybrid methodology. 2 plans and FFS reported using the Administrative methodology. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"87.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"80.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"80.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"79.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"78.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (13 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"82.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (11 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (11 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plan.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMO) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMO) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"64.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"83.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"12.3","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"57.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"60.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"60.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"71.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"88.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"21.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"24.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"59.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"15.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"21.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"50.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"60.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was derived using both administrative and hybrid method data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"32.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"82.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"87.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"71.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"72.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"81.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"64.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"58.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"74.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were derived using both administrative and hybrid method data. The CMOs continued to report this measure using the hybrid reporting method, but the FFS rate was reported using the administrative method only. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan claims data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 State reported the following variation: \u0022Dental rates are reported by Hawaii Dental Services and only include services rendered by dental providers. Thus, the rates of Dental or Oral Health Services are incomplete since they do not include non-dental health providers.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"49.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.9","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.0","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.1","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.5","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.2","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.3","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.3","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"64.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used administrative data and one health plan used hybrid data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"64.2","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used administrative data and one health plan used hybrid data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"75.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"48.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"56.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"37.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"41.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"63.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were derived using both administrative and hybrid method data. Four health plans used hybrid data and one health plan used administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"87.7","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"79.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"77.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.2","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"55.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"82.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Claim-based rates are significantly lower than the rates reported in the immunization information system (IIS). State is currently unable to match the IIS data with the Core Set data provided by the vendor. In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Claim-based rates are significantly lower than the rates reported in the immunization information system (IIS). State is currently unable to match the IIS data with the Core Set data provided by the vendor. In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Claim-based rates are significantly lower than the rates reported in the immunization information system (IIS). State is currently unable to match the IIS data with the Core Set data provided by the vendor. In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Claim-based rates are significantly lower than the rates reported in the immunization information system (IIS). State is currently unable to match the IIS data with the Core Set data provided by the vendor. In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and PCCM populations. State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Idaho","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (1 MCO). State noted: \u0022In Idaho, some services are covered by a managed care plan (dental, outpatient behavioral health, duals). All other services are covered through FFS. Idaho does not have PCCM entities, but most beneficiaries are enrolled with a single primary care provider who receive PCCM payments to serve as the beneficiaries\u0027 medical home. All delivery systems are included in rate calculations (numerator + denominator).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses the data in the state\u0027s Electronic Data Warehouse (EDW). The EDW has comprehensive claims and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"99.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"99.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims and eligibility data stored in it.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated. State reported the following variation: \u0022HFS does not utilize taxonomy code so qualifies providers based on provider type codes and category of service codes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated. State reported the following variation: \u0022HFS does not utilize taxonomy codes. The state qualifies providers based on provider type codes and category of service codes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated. State reported the following variation: \u0022HFS does not utilize taxonomy codes. The state qualifies providers based on provider type codes and category of service codes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated. State reported the following variation: \u0022HFS does not utilize taxonomy code so qualifies providers based on provider type codes and category of service codes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated. State reported the following variation: \u0022HFS does not utilize taxonomy code so qualifies providers based on provider type codes and category of service codes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"54.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"52.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"63.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"62.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"77.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"74.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"59.7","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"56.1","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"72.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"74.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"72.0","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"70.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"70.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"69.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"66.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"45.8","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"54.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"63.2","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"71.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"75.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"77.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"73.1","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"74.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"74.9","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"62.7","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"64.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"58.7","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"56.2","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.5","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"11.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims \u0026 eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims \u0026 eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims \u0026 eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) runs performance measure reports through the state\u0027s Electronic Data Warehouse which has all claims \u0026 eligibility data stored in it.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.8","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as vital records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as vital records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data and the Illinois Department of Public Health immunization records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as the Illinois Department of Public Health\u0027s Illinois Comprehensive Automated Immunization Registry Exchange (ICARE) data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data and the Illinois Department of Public Health immunization records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as the Illinois Department of Public Health\u0027s Illinois Comprehensive Automated Immunization Registry Exchange (ICARE) data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data and the Illinois Department of Public Health immunization records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as the Illinois Department of Public Health\u0027s Illinois Comprehensive Automated Immunization Registry Exchange (ICARE) data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data and the Illinois Department of Public Health immunization records.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data as well as the Illinois Department of Public Health\u0027s Illinois Comprehensive Automated Immunization Registry Exchange (ICARE) data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data \u0026 Illinois Department of Public Health immunization registry data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"84.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data \u0026 Illinois Department of Public Health immunization registry data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Illinois","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Department of Healthcare and Family Services (HFS) uses data from the Electronic Data Warehouse (EDW). The EDW contains comprehensive claim and eligibility data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.2","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.2","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.9","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs). Rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated. State noted: \u0022Three managed care entities (MCEs) used the administrative method and one used the hybrid method.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated. State noted: \u0022Three managed care entities (MCEs) used the administrative method and one used the hybrid method.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"81.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"81.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"86.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"30.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"39.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"57.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"56.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"62.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"22.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"22.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"29.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"32.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"31.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"35.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"83.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"61.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"61.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was derived using both administrative and hybrid method data. One health plan used the hybrid methodology.. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"37.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"37.7","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"33.7","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"15.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"15.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"14.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"13.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"13.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"12.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Indiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"71.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.0","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"48.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"19.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"21.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"4.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"4.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"16.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Iowa","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Iowa reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"81.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"71.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022 State reported the following variation: \u0022Information provided is aggregate of ages, proper age stratification to be done next year.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"71.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"77.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.1","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.0","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.8","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"63.1","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.2","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.1","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.3","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.2","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.1","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.3","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"84.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"81.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Reporting.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"89.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.0","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"83.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.0","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.8","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs), which includes some individuals covered by separate CHIP.\n","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.8","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Kentucky","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.2","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.1","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.0","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.8","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.6","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.3","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.9","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP. The state had a CMS-approved exemption for the fee-for-service population and the separate CHIP population. Rates may not include some individuals in these populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"13.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"90.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"78.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. For the administrative data method, FFS utilized the Medicaid Management Information System data warehouse. For the Hybrid data method, the six managed care plans utilized their administrative databases in addition to electronic health record and paper medical records. Rates were audited or validated. State noted: \u0022Louisiana reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"63.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. For the administrative data method, FFS utilized the Medicaid Management Information System data warehouse. For the Hybrid data method, the six managed care plans utilized their administrative databases in addition to electronic health record and paper medical records. Rates were audited or validated. State noted: \u0022Louisiana reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"56.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (6 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. For the administrative data method, FFS utilized the Medicaid Management Information System data warehouse. For the Hybrid data method, the six managed care plans utilized their administrative databases in addition to electronic health record and paper medical records. Rates were audited or validated. State noted: \u0022Louisiana reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Louisiana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"84.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"90.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.0","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.9","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.0","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.2","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.4","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.2","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.5","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maine","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and ICM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated. State reported the following variation: \u0022Maryland has a stand-alone dental plan that reimburses only for services rendered by or under the supervision of the dentist, therefore the Department considers and reports all services as \u0027dental\u0027 services.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.7","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.6","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.9","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.9","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.1","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"86.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"42.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"33.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"38.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (6 MCOs). State reported that rates exclude the following populations: \u00223 MCOs reported administratively and are not included in the measure.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data, including Immunization Registry.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (6 MCOs). State reported that rates exclude the following populations: \u00223 MCOs reported administratively and are not included in the measure.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data, including Immunization Registry.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated. State noted: \u0022While the separate CHIP population is eligible for this measure, there was no one with an X11 coverage group during calendar year 2023 that met the numerator or denominator criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"80.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Immunization Registry Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"73.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Immunization Registry Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"70.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Immunization Registry Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Maryland","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and Supplemental Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.2","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"92.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"93.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.6","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.9","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.9","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.1","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.8","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population, PCCM plan members, and members enrolled in Primary Care Accountable Care Organizations (ACOs). Rates may not include some individuals in these populations. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"88.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"54.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"74.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"45.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"49.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"84.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (17 MCOs). Rate also includes \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"87.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"81.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"77.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include PCCM and managed care populations (17 MCOs). State reported that rates exclude the following populations: \u0022Massachusetts received a one-year exemption from reporting this measure for the FFS population and for the primary care ACO population.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Rates were audited or validated. State noted: \u0022Massachusetts reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Massachusetts","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (17 MCOs). Rates also include \u0022other\u0022 delivery system (MassHealth Primary Care Accountable Care Organizations).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse, which contains a copy of MMIS) data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse, which contains a copy of MMIS) data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of Michigan Data Warehouse which contains a copy of MMIS data.\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of Michigan Data Warehouse which contains a copy of MMIS data.\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims, as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims, as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims, as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022State of MI Data Warehouse which contains a copy of MMIS data).\u0022 State reported the following variation: \u0022The rates reported do not include suspended claims, as these are a small fraction of all claims and would be very difficult to include.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.3","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"72.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. Two Medicaid health plans used the hybrid method (Molina and Priority). Seven Medicaid health plans used administrative data (Aetna, Blue Cross Complete, HAP CareSource, McLaren, Meridian, UnitedHealthcare, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"63.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. Two Medicaid health plans used the hybrid method (Molina and Priority). Seven Medicaid health plans used administrative data (Aetna, Blue Cross Complete, HAP CareSource, McLaren, Meridian, UnitedHealthcare, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims data only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims data only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims data only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims data only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"80.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combinations 3, 7, and 10, six Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, Meridian, Molina, Priority, and UnitedHealthcare). Three Medicaid health plans used administrative data (HAP CareSource, McLaren, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"30.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combinations 3, 7, and 10, six Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, Meridian, Molina, Priority, and UnitedHealthcare). Three Medicaid health plans used administrative data (HAP CareSource, McLaren, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"58.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combinations 3, 7, and 10, six Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, Meridian, Molina, Priority, and UnitedHealthcare). Three Medicaid health plans used administrative data (HAP CareSource, McLaren, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"23.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combinations 3, 7, and 10, six Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, Meridian, Molina, Priority, and UnitedHealthcare). Three Medicaid health plans used administrative data (HAP CareSource, McLaren, and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Medicaid health plan encounter data from the State of Michigan Data Warehouse.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"33.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claim and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combination 1 and 2, seven Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, McLaren, Meridian, Molina, Priority, and UnitedHealthcare). Two Medicaid health plans used administrative data (HAP CareSource and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"79.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claim and medical records review.\u0022 Rates were derived using both administrative and hybrid method data. For Combination 1 and 2, seven Medicaid health plans used the hybrid method (Aetna, Blue Cross Complete, McLaren, Meridian, Molina, Priority, and UnitedHealthcare). Two Medicaid health plans used administrative data (HAP CareSource and Upper Peninsula Plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"58.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rate was derived using both administrative and hybrid method data. Two Medicaid health plans used the hybrid method (Molina and Priority). Seven Medicaid health plans used administrative data (Aetna, Blue Cross Complete, HAP CareSource, McLaren, Meridian, UnitedHealthcare, and Upper Peninsula Plan). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"63.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"57.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"54.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims and medical records review.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Michigan","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Claims review only.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"79.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"75.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 State noted: \u0022Billing codes required for reporting are not used by providers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"70.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"81.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"77.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"86.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"4.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.1","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"26.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"31.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"7.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"1.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Minnesota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (9 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Includes Minnesota\u0027s separate CHIP population of unborn children of undocumented adults.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"87.1","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.5","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.9","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.9","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.4","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.2","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"85.1","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"88.8","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"81.2","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.7","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.8","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.3","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.3","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"76.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"15.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Mississippi","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"74.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.5","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.0","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"84.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.6","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.0","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.3","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.1","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"67.5","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.6","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.8","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.9","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.3","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs). The state had a CMS-approved exemption for the fee-for-service population. Rates may not include some individuals in this population. The state also had an approved exemption to combine reporting for separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates for four MCOs include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"7.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"4.3","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"69.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"18.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"74.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"24.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"49.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"17.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"19.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"48.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the remaining two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"54.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rate was derived using both administrative and hybrid method data. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"57.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the other two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"38.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the other two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"33.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Rates were derived using both administrative and hybrid method data. The administrative method was used for the FFS program and two MCOs, while the other two MCOs used the hybrid method. State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.8","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Missouri","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 State noted: \u0022Missouri reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"91.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"90.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"94.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"91.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"56.5","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"85.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"84.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.9","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.5","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.5","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"17.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Montana","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 State noted: \u0022Due to a reporting error, two MCOs only reported the combined Blood Glucose and Cholesterol Testing rates, and not the individual Blood Glucose Testing rates or Cholesterol Testing rates.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.8","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"84.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"84.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"82.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.4","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.2","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.4","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.7","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.7","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.4","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.6","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"77.2","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs) covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.6","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause. Also, due to reporting errors, only one MCO reported the Postpartum Care portion of this measure.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause. Also, due to reporting errors, only one MCO reported the Postpartum Care portion of this measure.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"86.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. 2 MCOs used administrative data, 1 MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"53.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. 2 MCOs used administrative data, 1 MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"68.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. 2 MCOs used administrative data, 1 MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"42.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. 2 MCOs used administrative data, 1 MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"31.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rate was derived using both administrative and hybrid method data. Two MCOs used administrative data, one MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"32.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs used administrative data, one MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"78.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs used administrative data, one MCO used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"70.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rate was derived using both administrative and hybrid method data. One MCO used administrative data, two MCOs used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"65.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. One plan used administrative data, two plans used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"53.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. One plan used administrative data, two plans used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"51.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022 Rates were derived using both administrative and hybrid method data. One plan used administrative data, two plans used hybrid data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nebraska","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Members who changed plans outside of open enrollment may have been omitted; however, members may only change plans for cause.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Claims Data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.9","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.0","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (1 MCO). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (1 MCO). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"67.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.6","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.0","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.5","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.3","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs), which includes some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.7","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.0","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"58.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"58.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"56.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"56.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and vital records. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"77.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"77.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"88.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"25.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"25.6","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"53.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"52.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"66.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"18.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"18.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"25.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"27.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"27.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"31.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"32.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"31.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"42.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"81.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"81.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"90.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"24.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"24.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). Rate was derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (4 MCOs). Rate was derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"73.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"65.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"65.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"61.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"61.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"66.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were derived using both administrative and hybrid method data. FFS used administrative data and MCOs used hybrid data (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Nevada","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rate was audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.7","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rate was audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.6","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.9","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.9","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.2","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.8","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.1","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.7","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Hampshire","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"#","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"85.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"48.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"37.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rate was audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"46.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rate was audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"36.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"72.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"76.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rate was audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"75.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"75.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"71.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022Rates include data from NH\u0027s three managed care programs which account for 99% of NH\u0027s full benefit Medicaid enrollment. The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Hampshire","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.6","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022NH received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The Managed Care Organization\u0027s data is from their claims system.\u0022 Rates were audited or validated. State noted: \u0022The State of NH Medicaid program saw a substantial drop in enrollment in calendar year 2023, due to the COVID Public Health Emergency ending 3\/31\/2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"12.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"18.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"18.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022CMS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022American Dental Association\/Dental Quality Alliance (ADA\/DQA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022American Dental Association\/Dental Quality Alliance (ADA\/DQA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022American Dental Association\/Dental Quality Alliance (ADA\/DQA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022American Dental Association\/Dental Quality Alliance (ADA\/DQA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"55.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.1","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.7","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"57.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.8","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"65.8","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"61.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"43.4","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.4","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"61.1","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.8","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.3","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.3","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"55.2","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.2","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. The state had a CMS-approved exemption for the fee-for-service population and beneficiaries that changed delivery systems, plans, or programs during the year. Rates may not include some individuals in these populations. The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include some individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"55.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"1.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HHS Office of Population Affairs (OPA) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"84.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"45.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"61.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"31.2","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Oregon Health and Science University (OHSU) MY 2023 administrative collection method submitted by the MCOs.\u0022 Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"33.7","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"87.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"75.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by four of the MCOs. HEDIS MY 2023 administrative collection method submitted by one MCO.\u0022 Rate was derived using both administrative and hybrid method data. Rate was audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"86.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"79.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 hybrid collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Jersey","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022New Jersey received a one-year exemption from reporting this measure for individuals who moved between programs, plans, or delivery systems (approximately 3% of the measure-eligible population).\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022HEDIS MY 2023 administrative collection method submitted by the MCOs.\u0022 Rates were audited or validated. State noted: \u0022New Jersey reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS Data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS Data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.0","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rate was audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.8","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022NM received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rate was audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.5","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.1","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.9","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.3","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.4","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.8","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"83.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs Hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"36.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs Hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"65.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs Hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"28.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs Hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS.\u0022 Rate was audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"34.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs reported administrative data, and one MCO reported hybrid data. Therefore, NM\u0027s final reported rates for IMA include a weighted methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"82.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs reported administrative data, and one MCO reported hybrid data. Therefore, NM\u0027s final reported rates for IMA include a weighted methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"36.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rate was derived using both administrative and hybrid method data. Two MCOs reported administrative data, and one MCO reported hybrid data. Therefore, the final reported rate for LSC includes a weighted methodology. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"66.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"63.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCOs hybrid HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCO\u0027s administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New Mexico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022New Mexico received a one-year exemption from reporting this measure for the FFS population and for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO-audited HEDIS data.\u0022 Rates were audited or validated. State noted: \u0022The data reported is an aggregate total of all 3 MCO\u0027s administrative HEDIS data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.1","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022New York State All Payer Database.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.9","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated. State noted: \u0022The FFS results are from MMIS data and the Managed Care results from Health Plan billing data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022New York State All Payer Database.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.0","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (15 MCOs). State reported that the rate excludes the following populations: \u0022New York State received a one-year exemption from reporting for the separate CHIP population for this measure.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022New York State All Payer Database.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022New York State All Payer Database.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022New York State All Payer Database.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"14.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (15 MCOs). State reported that the rate excludes the following populations: \u0022New York State received a one-year exemption from reporting for the separate CHIP population for this measure.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the separate CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the separate CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"9.5","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"7.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"19.9","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting for the CHIP population for this measure.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.4","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"26.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"80.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"80.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were derived using both administrative and hybrid method data. MMIS included FFS population. Hybrid method was used for 13 MCOs; Administrative method was used for 2 MCOs. Rates were audited or validated. State noted: \u0022The rate is weighted based on the size of the measure-eligible population for each reporting unit.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data All plans reported using the hybrid method.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"68.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were derived using both administrative and hybrid method data. MMIS included FFS population. Hybrid method was used for 13 MCOs; Administrative method was used for 2 MCOs. Rates were audited or validated. State noted: \u0022The rate is weighted based on the size of the measure-eligible population for each reporting unit.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data All plans reported using the hybrid method.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"71.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative\/ECDS data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care administrative\/ECDS rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"85.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"37.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative\/ECDS data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care administrative\/ECDS rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"47.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"48.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative\/ECDS data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care administrative\/ECDS rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"65.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"25.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative\/ECDS data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care administrative\/ECDS rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"35.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated. State reported the following variation: \u0022In addition to 96110, a modifier - diagnosis code \u0027Z13.42\u0027 - is required to be numerator compliant.\u0022 State noted: \u0022A modifier code is required for the DEV-CH measure in New York State, which means the rate in New York may not be directly comparable to the rates of this measure in other states.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was audited or validated. State reported the following variation: \u0022A modifier code is required for the DEV-CH measure in New York State, which means the rate in New York may not be directly comparable to the rates of this measure in other states. In addition to 96110, a modifier - diagnosis code \u0027Z13.42\u0027 - is required to be numerator compliant.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"42.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"38.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"81.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). MMIS included FFS population (Medicaid [Title XIX]). ECDS included Managed Care population (Medicaid [Title XIX] and Medicaid-Expansion CHIP [Title XXI]). Rates were audited or validated. State noted: \u0022The FFS administrative data is not as comprehensive as the health-plan submitted administrative data and produces a lower rate potentially due to the limitations of the data source. Combining the fee-for-service administrative rate and the managed care rate has lowered rates compared to previous years when the state only reported the managed care rate.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Electronic Clinical Data Systems (ECDS)","state_rate":"86.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative \u0026 Hybrid","state_rate":"75.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was derived using both administrative and hybrid method data. MMIS was used for the FFS population. Hybrid method was used for 10 MCOs; Administrative method was used for 5 MCOs. Rate was audited or validated. State noted: \u0022The rate is weighted based on the size of the measure-eligible population for each reporting unit.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"85.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rate was derived using both administrative and hybrid method data. Hybrid method was used for 9 MCOs; Administrative method was used for 3 MCOs. Rate was audited or validated. State noted: \u0022The rates are weighted based on the size of the measure-eligible population of the reported unit.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"86.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"83.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"79.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"79.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (15 MCOs). State reported that rates exclude the following populations: \u0022New York State received a one-year exemption from reporting this measure for the FFS population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"79.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"New York","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (12 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan Billing.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"21.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"32.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"54.8","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Information Exchange.\u0022 Rate was audited or validated. State reported the following variation: \u0022The number of G codes found in claims, encounters, and Health Information Exchange was very low.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"61.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"70.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"80.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"65.4","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"79.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"75.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"10.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"12.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"87.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Additional Chlamydia data was obtained from the North Carolina Information Exchange Authority.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"75.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"84.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Additional Body Mass Index measurement data was obtained from the North Carolina Health Information Exchange Authority.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Additional Body Mass Index measurement data was obtained from the North Carolina Health Information Exchange Authority.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Additional Body Mass Index measurement data was obtained from the North Carolina Health Information Exchange Authority.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Dual Eligibles were included in the denominator for calendar year 2023 data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Health Records","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using Administrative and Electronic Health Records.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.6","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"88.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.0","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.3","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.9","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"48.8","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.6","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.5","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.9","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"North Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022North Dakota received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.8","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.3","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.3","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.6","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.0","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.1","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include a supplemental behavioral health plan in addition to the statewide Medicaid results.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"11.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.5","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"67.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care rates for 3 plans and FFS rates were calculated using the administrative method. Managed care claim rates were calculated for 1 plan using the hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans.\u0022 Rate was derived using both administrative and hybrid method data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"75.7","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care claim rates were calculated on a per-plan basis using the hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans.\u0022 Rates were derived using both administrative and hybrid method data. The fee-for-service rate was calculated using the administrative collection method. Seven managed care plans used the hybrid method to calculate the rate. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"62.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care claim rates were calculated on a per-plan basis using the hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans.\u0022 Rates were derived using both administrative and hybrid method data. The fee-for-service rate was calculated using the administrative collection method. Seven managed care plans used the hybrid method to calculate the rate. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"53.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care claim rates were calculated on a per-plan basis using the hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans.\u0022 Rates were derived using both administrative and hybrid method data. The fee-for-service rate was calculated using the administrative collection method. Seven managed care plans used the hybrid method to calculate the rate. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Ohio","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that the rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"86.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"84.8","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following populations: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.7","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.0","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.3","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.9","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.1","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.4","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.5","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"11.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported that the rate excludes the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State noted: \u0022Decrease in numerator compliance is due to the removal of couple of diagnosis codes from the value set utilized in identifying the numerator population.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State noted: \u0022Decrease in numerator compliance is due to the removal of couple of diagnosis codes from the value set utilized in identifying the numerator population.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State noted: \u0022Decrease in numerator compliance is due to the removal of couple of diagnosis codes from the value set utilized in identifying the numerator population.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oklahoma","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State reported that rates exclude the following population: \u0022Excluded members enrolled in a Home or Community Based Waiver.\u0022 State reported the following variation: \u0022Change from Technical Specifications for continuous enrollment to any number of allowable gaps up to 45 days instead of just one gap of up to 45 days.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.9","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"96.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"96.9","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"95.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.1","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"52.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.0","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"63.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"65.1","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"72.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.2","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"47.4","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"45.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.8","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"56.8","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.6","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"67.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.3","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.0","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"55.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"54.1","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"59.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.4","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"22.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"76.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were derived using both administrative and hybrid method data. Deliveries for the FFS population were calculated using administrative data (124 deliveries). Deliveries for the managed care population (16 plans) were reviewed using hybrid data (sampling 523 cases out of 1,215 total eligible deliveries).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were derived using both administrative and hybrid method data. Deliveries for the FFS population were calculated using administrative data (3 deliveries). Deliveries for the managed care population (16 plans, but only 6 plans with CHIP-eligible deliveries) were reviewed using hybrid data (sampling 8 cases out of 20 total eligible deliveries).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"80.2","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"80.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were derived using both administrative and hybrid method data. Deliveries for the FFS population were calculated using administrative data (124 deliveries). Deliveries for the managed care population (16 plans) were reviewed using hybrid data (sampling 523 cases out of 1,215 total eligible deliveries).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (6 MCOs). Rates were derived using both administrative and hybrid method data. Deliveries for the FFS population were calculated using administrative data (3 deliveries). Deliveries for the managed care population (16 plans, but only 6 plans with CHIP-eligible deliveries) were reviewed using hybrid data (sampling 8 cases out of 20 total eligible deliveries).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.2","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.1","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs). State noted: \u0022The codes in the value sets for this measure may not be widely used in claims, therefore the measure results may be inaccurate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Oregon","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (12 MCOs). State reported that the rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"88.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"88.6","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"90.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"85.2","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"89.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"85.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated. State reported the following variation: \u0022Dental data received from the MCPs did not include tooth surface for 2024 Core Set reporting. The exclusion logic requiring tooth surface was not applied.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated. State reported the following variation: \u0022Dental data received from the MCOs did not include tooth surface for 2024 Core Set reporting. The exclusion logic requiring tooth surface was not applied.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated. State reported the following variation: \u0022Dental data received from the MCPs did not include tooth surface for 2024 Core Set reporting. The exclusion logic requiring tooth surface was not applied.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated. State reported the following variation: \u0022Dental data received from the MCOs did not include tooth surface for 2024 Core Set reporting. The exclusion logic requiring tooth surface was not applied.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.3","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.8","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.3","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.5","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"65.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.2","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"51.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.0","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"79.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.9","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.0","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"70.8","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"60.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"58.8","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"76.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"77.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"31.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Three (3) MCOs used the hybrid data source and five (5) MCOs used the administrative data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"69.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"41.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Three (3) MCOs used the hybrid data source and five (5) MCOs used the administrative data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"82.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"36.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"36.1","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"42.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"56.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"56.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"55.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"26.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"26.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"30.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"34.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"35.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"33.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source and one (1) MCO used the administrative data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"77.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"76.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"82.9","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Seven (7) MCOs used the hybrid data source and one (1) MCO used the administrative data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"77.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"78.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (7 MCOs). State reported that the rate excludes the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was derived using both administrative and hybrid method data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"68.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rate was derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"84.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"84.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"78.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"72.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"66.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"69.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"70.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"65.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were derived using both administrative and hybrid method data. The reporting entities are managed care organizations (MCO). Eight (8) MCOs used the hybrid data source. The administrative method was used to include measure-eligible enrollees who switched between Medicaid and CHIP programs, delivery systems, or MCOs. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (7 MCOs). State reported that rates exclude the following populations: \u0022Pennsylvania received a one-year exemption from reporting this measure for the FFS population, inclusive of individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Pennsylvania","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The administrative data includes claims (including pharmacy and dental), eligibility, provider, and supplemental data from the MCOs.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"168.3","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"99.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated. State reported the following variation: \u00223 of 4 MCOs reported the age stratifications for this measure. The total rate for this measure (Ages 5 to 18) is for 4 MCOs.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"97.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated. State reported the following variation: \u00223 of 4 MCOs reported the age stratifications for this measure. The total rate for this measure (Ages 5 to 18) is for 4 MCOs.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"95.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated. State reported the following variation: \u00223 of 4 MCOs reported the age stratifications for this measure. The total rate for this measure (Ages 5 to 18) is for 4 MCOs.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"46.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"62.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"62.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"79.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"83.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"71.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"76.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"40.2","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"53.8","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"78.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"76.3","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"67.7","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"69.2","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.2","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.6","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Puerto Rico","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022MCO Data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"36.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"65.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who move between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rate was audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rate was audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s PAHP do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in reports from the state\u0027s dental PAHP.\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (1 MCO). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s PAHP do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in reports from the state\u0027s dental PAHP.\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (1 MCO). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s PAHP do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in reports from the state\u0027s dental PAHP.\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"17.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s PAHP do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in reports from the state\u0027s dental PAHP.\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.0","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.2","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.8","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.2","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"84.2","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.8","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.7","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). The state also had an approved exemption to combine separate CHIP and Medicaid for the 2024 Child Core Set so the Medicaid rates include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"14.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.8","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"25.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"83.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"88.2","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"90.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 Child Core Set measures. The measure does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population as: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 One health plan reported only administrative data. Two health plans reported using the hybrid method. Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"60.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 Child Core Set measures. The measure does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population as: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 One health plan reported only administrative data. Two health plans reported using the hybrid method. Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"76.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 Child Core Set measures. The measure does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population as: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 One health plan reported only administrative data. Two health plans reported using the hybrid method. Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"52.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 Child Core Set measures. The measure does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population as: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 One health plan reported only administrative data. Two health plans reported using the hybrid method. Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"63.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rate was audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. Administrative reports from our MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided by Medicaid Managed Care Organizations (MCOs).\u0022 State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption .\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"47.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level.\u0022 The state described the \u0022other\u0022 population as the following: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs use the hybrid method. One MCO used administrative data only. Rates were audited or validated. State noted: \u0022Reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"85.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level.\u0022 The state described the \u0022other\u0022 population as the following: \u0022Separate CHIP (Title XXI).\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid MCOs.\u0022 Rates were derived using both administrative and hybrid method data. Two MCOs use the hybrid method. One MCO used administrative data only. Rates were audited or validated. State noted: \u0022Reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"78.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rate was audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"91.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"78.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Hybrid","state_rate":"75.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Medicaid FFS. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Rhode Island","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"81.6","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude: \u0022The measure does not include the Medicaid fee-for-service (FFS) population. The state has received an exemption for reporting the FFS population for the 2024 CMS Child Core Set measures. The measure also does not include beneficiaries who moved between plans during the measurement year but met continuous enrollment requirements at the state level. HEDIS reports from the state\u0027s MCOs do not include these beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs).\u0022 Rates were audited or validated. State noted: \u0022State reported separate CHIP population combined with Medicaid population as authorized by CMS in a 2024 reporting exemption.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.2","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.2","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.7","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.2","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.4","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.6","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.7","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"11.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.6","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"82.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"27.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"62.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"20.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"30.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"72.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"63.2","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (5 MCOs). Rate was derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"61.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"58.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs). Rates were derived using both administrative and hybrid method data. State noted: \u0022MCO-submitted hybrid rates and FFS administrative rates have been combined into an overall state rate using the weighted methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Carolina","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.9","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.4","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. State noted: \u0022This rate is low due to low provider utilization of the codes given in the value set defined for the numerator, as the codes are not separately reimbursed.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. State noted: \u0022This rate is low due to low provider utilization of the codes given in the value set defined for the numerator, as the codes are not separately reimbursed.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. State reported the following variation: \u0022Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care. Since community mental health center (CMHC) visits count towards the denominator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"58.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"85.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"84.9","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.1","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"59.0","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.6","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (PCCM).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.9","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.6","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"20.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.5","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. 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Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.2","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"South Dakota","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.1","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.4","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.5","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NR","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"80.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.1","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.6","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.1","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.0","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"80.2","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"68.0","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.9","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"76.6","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.4","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"73.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"61.4","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.2","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.1","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.3","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"81.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.9","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.7","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.6","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"66.9","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.4","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"65.2","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.2","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"69.7","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.1","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.3","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.1","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.4","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.9","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.0","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.7","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"83.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"83.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"30.7","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"30.6","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"37.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"66.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"66.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"71.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"24.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"24.5","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"32.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.3","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"33.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"33.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"26.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"74.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"70.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"68.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"64.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"82.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"82.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"77.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"68.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"61.7","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"63.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"63.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"58.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Tennessee","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.2","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.6","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"79.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Dental encounter and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"82.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"78.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.7","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.2","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"74.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.1","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.4","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"85.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"85.5","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"31.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"31.5","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"62.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"62.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"24.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"24.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"41.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"41.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"85.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"85.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"88.9","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"48.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"48.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was derived using both administrative and hybrid method data. Hybrid data was collected for State of Texas Access Reform (STAR) and STAR Kids, while STAR Health and FFS contributed administrative data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.7","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"82.5","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"82.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"84.2","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"76.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"76.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"80.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"73.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"73.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"78.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Texas","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (15 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims\/encounter data. The enrollment files contained information about the member\u0027s age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims\/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.9","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rates include Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.8","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"10.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"56.6","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.1","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.6","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.1","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.8","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.3","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.6","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.5","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.2","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"8.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.2","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (8 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method. Also, the state\u0027s measure-eligible fee-for-service population are included in this measure which was not included last year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.9","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method. Also, the state\u0027s measure-eligible fee-for-service population are included in this measure which was not included last year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method. Also, the state\u0027s measure-eligible fee-for-service population are included in this measure which was not included last year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.7","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method. Also, the state\u0027s measure-eligible fee-for-service population are included in this measure which was not included last year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.8","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.8","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.0","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated. State noted: \u0022Utah Medicaid is implementing a new reporting methodology for 2024 reporting. Instead of reporting the data Utah\u0027s health plans reported, the state worked with a vendor to build a population health management system which calculates all the Core Set measures using claims data. Since the state is reporting with an administrative methodology, rates may vary from the previous year that were calculated using a hybrid method.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.3","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.0","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.9","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data. Reports generated using an administrative methodology. Rates may vary from the previous year that were calculated using a hybrid methodology.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (4 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Utah","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (2 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Rate includes Medicaid claims and encounter data. Prior year submissions only included encounter data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"93.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.0","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022VT Medicaid incorporates data from the VT Department of Health\u0027s database.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.3","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022VT Medicaid incorporates data from the VT Department of Health\u0027s database.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.7","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.0","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.2","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.7","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.8","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.5","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.7","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.5","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.0","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.5","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.6","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include public non-risk prepaid inpatient health plan population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.0","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.6","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.2","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"74.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"70.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Hybrid","state_rate":"68.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Vermont","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include \u0022other\u0022 delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.2","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.0","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.0","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.1","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.4","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.3","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.9","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.7","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.9","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"41.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.9","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.9","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.8","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"73.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.7","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.2","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.1","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"70.9","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"55.6","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"50.1","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.9","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.5","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"73.6","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.6","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.6","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1","state_rate":"73.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.1","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.4","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.5","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.4","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.8","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"24.7","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.0","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.1","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"82.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.7","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.8","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"85.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.1","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.9","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.5","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.2","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.0","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (5 MCOs). State noted: \u0022Trending to previous years should be interpreted with caution due to methodological changes.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"68.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.9","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"81.7","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"20.3","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.2","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"33.7","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"61.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.9","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"83.5","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"90.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"43.4","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for ADD rate 1, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for ADD rate 1, 17% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"50.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for ADD rate 1, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for ADD rate 1, 17% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"59.0","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"52.7","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.0","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"25.8","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"28.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APM, 16% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APM, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for CDF, 10% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for depression screening and exceptions, not exclusions.\u0022 State noted: \u0022This measure requires the use of G codes not specified in state\u0027s billing guide and not widely used in billing, so state\u0027s rates are an underestimation of actual screenings.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for CDF, 10% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for depression screening and exceptions, not exclusions.\u0022 State noted: \u0022This measure requires the use of a G code not specified in state\u0027s billing guide and not widely used in billing, so state\u0027s rates are an underestimation of actual screenings.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APP, 19% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APP, 26% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"60.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APP, 19% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APP, 26% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for APP, 19% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.8","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that the rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for APP, 26% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were not evaluated for hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"32.6","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible beneficiary months for AMB, 10% were covered by TPL.\u0022 State reported the following variation: \u0022For emergency department visits, WA included paid FFS claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO. For inpatient stays, state also included denied FFS claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.9","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible beneficiary months for AMB, 11% were covered by TPL.\u0022 State reported the following variation: \u0022For emergency department visits, WA included paid FFS claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO. For inpatient stays, state also included denied FFS claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"93.8","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"71.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"73.9","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"84.3","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL) and dual eligibility.\u0022 State reported the following variation: \u0022WA excluded fee-for-service claims with a business status other than \u0022final paid.\u0022 All other FFS statuses were excluded such as denied, void, credit, adjusted etc. WA included accepted managed care encounters, with the exclusion of denied lines. Rejected encounters were included only when they had an \u0022invalid provider\u0022 error and no other rejecting errors.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.1","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"80.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for AAB, 6% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for bronchitis diagnosis and not for hospice use, negative medication history, comorbid condition history, or a competing diagnosis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for AAB, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for bronchitis diagnosis and not for hospice use, negative medication history, comorbid condition history, or a competing diagnosis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.1","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"52.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for OEV, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.5","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for OEV, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for SFM, 13% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for SFM, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"43.5","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for SFM, 13% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for SFM, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.0","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for TFL, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for TFL, 9% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.3","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.7","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.6","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.4","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"50.9","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.6","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.2","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.1","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.0","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.6","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.0","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"21.5","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for CCW, 12% had TPL.\u0022 State reported the following variation: \u0022WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a National Drug Code for emergency contraception. WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for CCW, 9% had TPL.\u0022 State reported the following variation: \u0022WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a National Drug Code for emergency contraception. WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for CCW, 12% had TPL.\u0022 State reported the following variation: \u0022WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a National Drug Code for emergency contraception. WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for CCW, 9% had TPL.\u0022 State reported the following variation: \u0022WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a National Drug Code for emergency contraception. WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 13% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required a family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 9% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.7","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"46.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 13% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required a family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 9% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 13% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required a family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 9% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"22.0","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 13% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required a family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 9% had TPL.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Vital records.\u0022 State reported the following variation: \u0022WA did not use claims with CCP-A codes if they also had a Z34 or Z3A series ICD-10 code for supervision of a pregnancy of 19 or fewer weeks gestation. WA required family planning modifier for 11981 and 11983 to verify contraceptive use as required by WA policy. WA excluded claims with S4993 alone if they had a national drug code for emergency contraception. WA included paid and select denied fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status.\u0022 State noted: \u0022WA excluded delivery claims with a non-live indicator 30 days before or after.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"7.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"80.3","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 14% had TPL.\u0022 Administrative data sources are claims\/encounters and vital records. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for deliveries, prenatal visits, and postpartum visits, but not for non-live indicators or hospice use.\u0022 State noted: \u0022WA used vital records data as a supplement to administrative MMIS data. A birth certificate was found for 97.7% of the eligible population. When determining enrollment, WA used the 15th of the month.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 4% had TPL.\u0022 Administrative data sources are claims\/encounters and vital records. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for deliveries, prenatal visits, and postpartum visits, but not for non-live indicators or hospice use.\u0022 State noted: \u0022WA used vital records data as a supplement to administrative MMIS data. A birth certificate was found for 100% of the eligible population. When determining enrollment, WA used the 15th of the month.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"62.4","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population, 14% had TPL.\u0022 Administrative data sources are claims\/encounters and vital records. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for deliveries, prenatal visits, and postpartum visits, but not for non-live indicators or hospice use.\u0022 State noted: \u0022WA used vital records data as a supplement to administrative MMIS data. A birth certificate was found for 97.7% of the eligible population. When determining enrollment, WA used the 15th of the month.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population, 4% had TPL.\u0022 Administrative data sources are claims\/encounters and vital records. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for deliveries, prenatal visits, and postpartum visits, but not for non-live indicators or hospice use.\u0022 State noted: \u0022WA used vital records data as a supplement to administrative MMIS data. A birth certificate was found for 100% of the eligible population. When determining enrollment, WA used the 15th of the month.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCV, 9% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCV, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"46.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCV, 9% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCV, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCV, 9% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCV, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCV, 9% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.2","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCV, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.8","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"78.7","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data used for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"80.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.3","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data used for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.1","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data used for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.1","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data used for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Birth certificate data for Hepatitis B vaccination.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for CHL, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for chlamydia testing, not sexual activity or hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for CHL, 8% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for chlamydia testing, not sexual activity or hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"6.3","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for DEV, 8% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022 State noted: \u0022WA allows both developmental and autism screening under Current Procedural Terminology (CPT) code 96110. Only codes with a diagnosis modifier indicating developmental screening was conducted were included. Only 24% of claims with CPT code 96110 have a modifier, so WA\u0027s reportable rate is an underestimation of the actual screening rate. State plans to recommend the use of diagnosis modifiers in the future to increase the reportable rate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for DEV, 14% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers.\u0022 State noted: \u0022WA allows both developmental and autism screening under Current Procedural Terminology (CPT) code 96110. Only codes with a diagnosis modifier indicating developmental screening was conducted were included. Only 24% of claims with CPT code 96110 have a modifier, so WA\u0027s reportable rate is an underestimation of the actual screening rate. State plans to recommend the use of diagnosis modifiers in the future to increase the reportable rate.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA state does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.7","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). Administrative data sources are claims\/encounters and state immunization registry\/immunization information systems. State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for vaccinations, not hospice use.\u0022 State noted: \u0022WA state does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for LSC, 7% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for the lead screening, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.4","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for LSC, 12% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for the lead screening, not hospice use.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCC, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCC, 8% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"21.5","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCC, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCC, 8% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"19.6","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the Medicaid eligible population for WCC, 11% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.3","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL). Of the CHIP eligible population for WCC, 8% had TPL.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for outpatient visits and numerator events, not hospice use or pregnancies.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.5","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022WA uses birth certificates to link mom to baby to get additional baby visits on moms\u0027 records in the first 60 days after birth for rate 1.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use or visits on mom\u0027s records.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022WA uses birth certificates to link mom to baby to get additional baby visits on moms\u0027 records in the first 60 days after birth for rate 1.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use or visits on mom\u0027s records.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"62.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022WA uses birth certificates to link mom to baby to get additional baby visits on moms\u0027 records in the first 60 days after birth for rate 1.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use or visits on mom\u0027s records.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Washington","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.1","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: \u0022WA excluded beneficiaries with third-party-liability (TPL).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022WA uses birth certificates to link mom to baby to get additional baby visits on moms\u0027 records in the first 60 days after birth for rate 1.\u0022 State reported the following variation: \u0022WA included paid fee-for-service claims and reported managed care encounters that met state\u0027s data quality standards regardless of payment status by the MCO, as well as denied fee-for-service claims with a denial reason specifying third party liability or other payers. Denied fee-for-service claims were only evaluated for well-child visits, not hospice use or visits on mom\u0027s records.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.5","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.9","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: NCQA allows age adjustment as long as the age range was not changed or expanded. The age was defined based on the end of the measurement year. When a measure is defined as event based the allowable adjustment certification only checks the first two events to determine if they are accurate. It does not evaluate final calculation. Allowable Adjustment requires to validate the first and second event. The rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria. All data has been used when evaluating eligible population, numerator, and exclusion criteria.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.7","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted if the age range was not changed or expanded. HEDIS Definition: 6 years as of March 1 of the year prior to the measurement year to 12 years as of the last calendar day of February of the measurement year. The Age range was defined with a relative date of 10 months from start of the measurement year to end age range of 10 months from the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted if the age range was not changed or expanded. HEDIS Definition: 6 years as of March 1 of the year prior to the measurement year to 12 years as of the last calendar day of February of the measurement year. The Age range was defined with a relative date of 10 months from start of the measurement year to end age range of 10 months from the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted if the age range was not changed or expanded. HEDIS Definition: 6 years as of March 1 of the year prior to the measurement year to 12 years as of the last calendar day of February of the measurement year. The Age range was defined with a relative date of 10 months from start of the measurement year to end age range of 10 months from the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.9","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted if the age range was not changed or expanded. HEDIS Definition: 6 years as of March 1 of the year prior to the measurement year to 12 years as of the last calendar day of February of the measurement year. The Age range was defined with a relative date of 10 months from start of the measurement year to end age range of 10 months from the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.3","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.6","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.9","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.2","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.0","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.5","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.2","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.4","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.3","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.8","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.0","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"45.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"71.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.3","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"77.2","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"89.7","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.6","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.0","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"75.5","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.4","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"86.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.5","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.8","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as age range was not changed or expanded. The Age Group was defined based on the end of the measurement year, but the age range does verify the member is 18 years and older at the episode date.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as age range was not changed or expanded. The Age Group was defined based on the end of the measurement year, but the age range does verify the member is 18 years and older at the episode date.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"26.6","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.3","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.9","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.4","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"62.6","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"86.5","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.1","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"89.8","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"81.1","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"83.7","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.8","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"75.1","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.9","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"72.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.1","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.5","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.8","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"79.5","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.1","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.7","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.5","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs). Rates for one MCO include individuals covered by separate CHIP.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"CHIP","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO), which includes some individuals covered by Title XXI-funded Medicaid expansion CHIP.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.9","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.9","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.5","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"11.4","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"81.6","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: Age can be adjusted as long as the age range was not changed or expanded. HEDIS Definition: Age as of December 31st of the measurement year. Age was defined based on the end of the measurement year. Allowable adjustment: Only test against first two events. HEDIS has defined this measure as an event-based measure. The measure evaluates 1st and 2nd events. It doesn\u0027t evaluate all deliveries.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: Age can be adjusted as long as the age range was not changed or expanded. HEDIS Definition: Age as of December 31st of the measurement year. Age was defined based on the end of the measurement year. Allowable adjustment: Only test against first two events. HEDIS has defined this measure as an event-based measure. The measure evaluates 1st and 2nd events. It doesn\u0027t evaluate all deliveries.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: Age can be adjusted as long as the age range was not changed or expanded. HEDIS Definition: Age as of December 31st of the measurement year. Age was defined based on the end of the measurement year. Allowable adjustment: Only test against first two events. HEDIS has defined this measure as an event-based measure. The measure evaluates 1st and 2nd events. It doesn\u0027t evaluate all deliveries.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: Age can be adjusted as long as the age range was not changed or expanded. HEDIS Definition: Age as of December 31st of the measurement year. Age was defined based on the end of the measurement year. Allowable adjustment: Only test against first two events. HEDIS has defined this measure as an event-based measure. The measure evaluates 1st and 2nd events. It doesn\u0027t evaluate all deliveries.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"21.1","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.3","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.9","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.3","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"11.9","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.3","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.0","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"88.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"29.4","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"70.3","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"23.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: The Age was defined based on the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable adjustments: The Age was defined based on the end of measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"28.5","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"81.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP.\u0022 Administrative data source is state immunization registry\/immunization information systems. The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution (EDS), separate from the MMIS.\u0022 Rates were derived using both administrative and hybrid method data. The State\u0027s three MCOs utilized their administrative systems to identify the eligible population. The State\u0027s EDS was utilized to identify the eligible FFS population. The MCO and FFS numerators were identified using the State\u0027s Immunization Registry extract in the West Virginia Health Information Network (WVHIN) or paper chart reviews for individuals not in the WVHIN. FFS numerators were also collected using the EHR systems for several provider networks.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.4","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Data Warehouse, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022 State reported the following variation: \u0022Allowable Adjustments: Age can be adjusted as long as the age range was not changed or expanded. Age was defined based on the end of the measurement year.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.0","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.9","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.2","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"West Virginia","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The State\u0027s Medicaid Enterprise Data Solution, separate from the MMIS.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.3","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (14 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.5","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.4","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (14 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.4","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.3","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (9 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.5","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.0","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.7","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.1","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.4","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.2","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.9","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.6","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.5","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.7","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.6","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (36 MCOs). State noted: \u0022Coverage policy in Wisconsin does not align with technical specifications for this measure, resulting in low performance result.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (20 MCOs). State noted: \u0022Coverage policy in Wisconsin does not align with technical specifications for this measure, resulting in low performance result.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.3","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (10 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (10 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.4","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (10 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.4","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (32 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (20 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"83.1","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.1","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (20 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"81.3","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.7","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (20 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"82.2","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"87.0","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"87.7","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.8","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (14 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.0","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (14 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.8","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.9","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.5","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.3","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.3","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"83.1","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"78.4","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"76.0","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs). Rates may include some individuals covered by separate CHIP. The state had a CMS-approved exemption for all populations for this measure for 2024 Child Core Set reporting. Rates may not include all measure-eligible individuals. ","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (35 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (21 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (35 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (21 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.1","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.8","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"19.7","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"19.2","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (7 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.7","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.2","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (26 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.5","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (26 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.0","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.7","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.4","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.4","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.7","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.8","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (36 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"48.5","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.4","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"32.0","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.9","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.8","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.6","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.2","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (34 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.0","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.6","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.9","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.3","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (16 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"56.0","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (13 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (18 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.0","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.1","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.3","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (18 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.8","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.0","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (18 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (17 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.6","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.9","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.8","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wisconsin","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.5","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (15 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"53.2","median":"50.8","bottom_quartile":"43.4","top_quartile":"61.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.0","number_of_states_reporting":"52","mean":"69.8","median":"69.3","bottom_quartile":"63.9","top_quartile":"75.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.6","number_of_states_reporting":"47","mean":"23.8","median":"21.5","bottom_quartile":"18.1","top_quartile":"29.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Ages 13 to 17","measure_abbreviation":"FUA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.8","number_of_states_reporting":"50","mean":"34.4","median":"33.0","bottom_quartile":"27.5","top_quartile":"42.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.7","number_of_states_reporting":"52","mean":"45.5","median":"44.8","bottom_quartile":"35.2","top_quartile":"56.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17","measure_abbreviation":"FUH-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.4","number_of_states_reporting":"52","mean":"68.1","median":"70.0","bottom_quartile":"62.8","top_quartile":"76.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.8","number_of_states_reporting":"52","mean":"46.4","median":"47.4","bottom_quartile":"41.1","top_quartile":"52.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Follow-Up Care for Children Prescribed Attention-Deficit\/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12","measure_abbreviation":"ADD-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"54.0","median":"54.8","bottom_quartile":"47.3","top_quartile":"60.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"75.1","number_of_states_reporting":"50","mean":"45.1","median":"43.6","bottom_quartile":"37.6","top_quartile":"50.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"89.8","number_of_states_reporting":"50","mean":"60.1","median":"59.7","bottom_quartile":"55.1","top_quartile":"63.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"85.1","number_of_states_reporting":"52","mean":"55.4","median":"54.6","bottom_quartile":"50.4","top_quartile":"59.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"50","mean":"32.3","median":"30.1","bottom_quartile":"24.7","top_quartile":"35.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"50","mean":"38.9","median":"39.0","bottom_quartile":"31.6","top_quartile":"45.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.9","number_of_states_reporting":"52","mean":"36.9","median":"36.7","bottom_quartile":"30.4","top_quartile":"43.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"50","mean":"30.8","median":"28.2","bottom_quartile":"23.5","top_quartile":"35.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.2","number_of_states_reporting":"50","mean":"37.8","median":"37.3","bottom_quartile":"30.5","top_quartile":"43.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"35.6","median":"35.2","bottom_quartile":"29.0","top_quartile":"41.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Ages 12 to 17","measure_abbreviation":"CDF-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"42","mean":"6.7","median":"2.0","bottom_quartile":"0.5","top_quartile":"8.7","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"51","mean":"59.2","median":"57.9","bottom_quartile":"52.9","top_quartile":"63.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"72.2","number_of_states_reporting":"52","mean":"62.8","median":"62.0","bottom_quartile":"58.2","top_quartile":"67.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Behavioral Health Care","reporting_program":"Child Core Set","measure_name":"Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17","measure_abbreviation":"APP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"61.5","median":"59.9","bottom_quartile":"57.1","top_quartile":"66.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19","measure_abbreviation":"AMB-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.5","number_of_states_reporting":"52","mean":"38.7","median":"34.7","bottom_quartile":"39.5","top_quartile":"31.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"51","mean":"72.8","median":"73.2","bottom_quartile":"65.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.4","number_of_states_reporting":"51","mean":"67.9","median":"69.1","bottom_quartile":"62.0","top_quartile":"73.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Asthma Medication Ratio: Ages 5 to 18","measure_abbreviation":"AMR-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.0","number_of_states_reporting":"51","mean":"70.4","median":"70.1","bottom_quartile":"63.8","top_quartile":"76.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Care of Acute and Chronic Conditions","reporting_program":"Child Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Ages 3 Months to 17 Years","measure_abbreviation":"AAB-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"94.2","number_of_states_reporting":"52","mean":"72.1","median":"72.1","bottom_quartile":"65.4","top_quartile":"83.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Oral Evaluation, Dental Services: Ages \u003C1 through 20","measure_abbreviation":"OEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages \u003C1 through 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"50","mean":"43.6","median":"44.8","bottom_quartile":"40.8","top_quartile":"49.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"8.1","number_of_states_reporting":"51","mean":"47.0","median":"50.3","bottom_quartile":"39.7","top_quartile":"56.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Sealant Receipt on Permanent First Molars: Age 10","measure_abbreviation":"SFM-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.2","number_of_states_reporting":"51","mean":"32.7","median":"34.5","bottom_quartile":"26.9","top_quartile":"40.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Dental and Oral Health Services","reporting_program":"Child Core Set","measure_name":"Topical Fluoride for Children: Ages 1 through 20","measure_abbreviation":"TFL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"49","mean":"21.5","median":"21.6","bottom_quartile":"16.5","top_quartile":"25.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"58.7","number_of_states_reporting":"47","mean":"59.7","median":"59.9","bottom_quartile":"55.4","top_quartile":"63.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022:  General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"72.4","number_of_states_reporting":"47","mean":"70.1","median":"70.9","bottom_quartile":"65.0","top_quartile":"75.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"74.4","number_of_states_reporting":"47","mean":"79.4","median":"79.0","bottom_quartile":"77.3","top_quartile":"82.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected Their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: General Child (GC) Population Ages 0 to 17 ","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"65.2","number_of_states_reporting":"36","mean":"67.4","median":"67.1","bottom_quartile":"64.4","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"76.4","number_of_states_reporting":"47","mean":"76.5","median":"77.1","bottom_quartile":"74.3","top_quartile":"79.1","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"71.4","number_of_states_reporting":"35","mean":"73.5","median":"72.6","bottom_quartile":"70.7","top_quartile":"75.2","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"60.9","number_of_states_reporting":"47","mean":"69.1","median":"69.8","bottom_quartile":"67.0","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: General Child (GC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"69.7","number_of_states_reporting":"47","mean":"71.7","median":"72.5","bottom_quartile":"69.4","top_quartile":"74.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"56.6","median":"55.9","bottom_quartile":"52.5","top_quartile":"62.3","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected They \u0022Always\u0022 Got Care Quickly, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"70.1","median":"70.4","bottom_quartile":"66.3","top_quartile":"75.5","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"78.7","median":"79.5","bottom_quartile":"75.9","top_quartile":"81.4","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"74.9","median":"75.2","bottom_quartile":"73.0","top_quartile":"77.9","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"27","mean":"70.9","median":"70.3","bottom_quartile":"67.8","top_quartile":"74.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"65.5","median":"66.5","bottom_quartile":"62.5","top_quartile":"68.7","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Experience of Care","reporting_program":"Child Core Set","measure_name":"CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Ages 0 to 17","measure_abbreviation":"CPC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage whose Caregiver Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Children with Chronic Conditions (CCC) Population Ages 0 to 17","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1","state_rate":"NR","number_of_states_reporting":"33","mean":"65.9","median":"66.0","bottom_quartile":"62.0","top_quartile":"69.6","notes":"NR = State did not report the measure for this population.","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"17.8","number_of_states_reporting":"51","mean":"22.5","median":"23.1","bottom_quartile":"17.0","top_quartile":"27.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - All Women Ages 15 to 20","measure_abbreviation":"CCW-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"51","mean":"3.4","median":"3.3","bottom_quartile":"2.4","top_quartile":"4.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"42","mean":"6.9","median":"5.8","bottom_quartile":"3.8","top_quartile":"8.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"49","mean":"47.9","median":"47.4","bottom_quartile":"43.1","top_quartile":"51.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"37","mean":"4.6","median":"3.1","bottom_quartile":"2.3","top_quartile":"5.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 15 to 20","measure_abbreviation":"CCP-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"37.6","number_of_states_reporting":"49","mean":"20.4","median":"19.3","bottom_quartile":"16.6","top_quartile":"23.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Live Births Weighing Less Than 2,500 Grams","measure_abbreviation":"LBW-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Live Births Weighing Less Than 2,500 Grams","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"10.6","number_of_states_reporting":"52","mean":"10.3","median":"10.2","bottom_quartile":"11.2","top_quartile":"9.1","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Low-Risk Cesarean Delivery","measure_abbreviation":"LRCD-CH","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean","core_set_year":"2024","population":"Medicaid","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"52","mean":"24.3","median":"24.1","bottom_quartile":"26.4","top_quartile":"21.8","notes":"","source":"Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 30, 2024.","statespecific_comments":"CMS calculated rate using CDC WONDER data.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"83.9","number_of_states_reporting":"49","mean":"61.2","median":"64.0","bottom_quartile":"51.5","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Maternal and Perinatal Health","reporting_program":"Child Core Set","measure_name":"Prenatal and Postpartum Care: Under Age 21","measure_abbreviation":"PPC2-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Under Age 21 Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"61.1","number_of_states_reporting":"48","mean":"57.5","median":"61.0","bottom_quartile":"47.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 11","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"52","mean":"55.0","median":"56.4","bottom_quartile":"52.0","top_quartile":"61.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 12 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"49.3","median":"49.9","bottom_quartile":"43.4","top_quartile":"55.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 18 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.1","number_of_states_reporting":"52","mean":"26.3","median":"25.6","bottom_quartile":"21.0","top_quartile":"30.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Child and Adolescent Well-Care Visits: Ages 3 to 21","measure_abbreviation":"WCV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician\/Gynecologist: Ages 3 to 21","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"52","mean":"48.8","median":"49.2","bottom_quartile":"43.9","top_quartile":"54.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"51","mean":"77.9","median":"81.9","bottom_quartile":"75.1","top_quartile":"84.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had at Least Two Flu Vaccinations by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.2","number_of_states_reporting":"51","mean":"34.9","median":"32.0","bottom_quartile":"27.3","top_quartile":"40.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.4","number_of_states_reporting":"51","mean":"53.8","median":"58.1","bottom_quartile":"48.1","top_quartile":"65.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Childhood Immunization Status: Age 2","measure_abbreviation":"CIS-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.0","number_of_states_reporting":"51","mean":"25.0","median":"23.6","bottom_quartile":"17.8","top_quartile":"29.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Chlamydia Screening in Women Ages 16 to 20","measure_abbreviation":"CHL-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.7","number_of_states_reporting":"52","mean":"47.6","median":"47.1","bottom_quartile":"40.6","top_quartile":"57.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Developmental Screening in the First Three Years of Life: Ages 0 to 3","measure_abbreviation":"DEV-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.7","number_of_states_reporting":"49","mean":"39.4","median":"37.4","bottom_quartile":"27.0","top_quartile":"52.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.3","number_of_states_reporting":"51","mean":"33.5","median":"33.3","bottom_quartile":"29.6","top_quartile":"38.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Immunizations for Adolescents: Age 13","measure_abbreviation":"IMA-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"51","mean":"71.4","median":"75.3","bottom_quartile":"63.6","top_quartile":"82.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Lead Screening in Children: Age 2","measure_abbreviation":"LSC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"29.1","number_of_states_reporting":"52","mean":"53.7","median":"58.1","bottom_quartile":"34.8","top_quartile":"68.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.6","number_of_states_reporting":"51","mean":"54.4","median":"65.0","bottom_quartile":"25.3","top_quartile":"80.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.2","number_of_states_reporting":"51","mean":"43.3","median":"39.4","bottom_quartile":"14.1","top_quartile":"72.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Weight Assessment and Counseling for Nutrition and Physical Activity for Children\/Adolescents: Ages 3 to 17","measure_abbreviation":"WCC-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.8","number_of_states_reporting":"51","mean":"40.2","median":"38.0","bottom_quartile":"10.8","top_quartile":"69.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"54.6","median":"59.0","bottom_quartile":"50.7","top_quartile":"62.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Wyoming","domain":"Primary Care Access and Preventive Care","reporting_program":"Child Core Set","measure_name":"Well-Child Visits in the First 30 Months of Life","measure_abbreviation":"W30-CH","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"71.4","number_of_states_reporting":"52","mean":"63.5","median":"65.3","bottom_quartile":"60.2","top_quartile":"70.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.1","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.3","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"76.7","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"28.3","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.9","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"14.0","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.0","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.8","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.8","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.6","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.7","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.2","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.3","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.5","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.7","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"74.3","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"78.5","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.5","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"22.9","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.5","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"92.6","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.2","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"102.1","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.0","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.1","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.1","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.3","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.6","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.5","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"62.6","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.4","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.4","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"52.6","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 4,209. The state provided the following information about the sampling or survey methodology: Proportionate sample by region and waiver.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"90.9","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 4,209. The state provided the following information about the sampling or survey methodology: Proportionate sample by region and waiver.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"94.0","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 4,209. The state provided the following information about the sampling or survey methodology: Proportionate sample by region and waiver.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.8","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.2","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.9","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.9","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.2","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.8","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.6","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"45.1","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"52.9","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and PCCM populations. State reported the following variation: \u0022Alabama Medicaid Policy requires that when a chlamydia test is performed at the same time as another STI test, the comprehensive code CPT 87801 must be used. State, therefore, included CPT 87801 in the numerator compliant value set for rate determination.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.8","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alabama","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and PCCM populations. State noted: \u0022Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"73.4","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.6","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"19.9","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"32.4","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population. State noted: \u0022This measure analyzes a small target population; this results in high fluctuation levels in the rate percentages from year to year. There might be some undercount due to timely filing lag.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"15.5","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"63.0","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"16.7","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"19.8","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"51.1","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.5","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"69.4","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"48.1","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.7","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.3","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.2","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"49.0","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"47.5","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Alaska","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"55.1","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"52.2","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"29.8","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.7","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"74.6","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"46.8","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"32.2","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"53.6","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"69.7","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.6","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.9","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"15.9","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"65.6","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"33.1","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"43.6","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"17.8","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"17.8","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.4","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from including Title XIX members who switch health plans within the required continuous enrollment timeframe.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from including Title XIX members who switch health plans within the required continuous enrollment timeframe.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Arizona received a one-year exemption from including Title XIX members who switch health plans within the required continuous enrollment timeframe.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"25.9","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"28.4","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"54.2","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that the rates exclude the following populations: \u0022Arizona received a one-year exemption from reporting this measure for the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"64.6","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"70.4","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.1","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"5.5","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"5.5","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"62.8","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"62.8","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 12 of 14 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 3 of 10 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"55.3","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"55.3","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"18.8","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 3 of 10 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"35.2","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"35.2","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"28.1","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 3 of 10 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"1.0517","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.9","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"14.9","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.6","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"20.7","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"3.2","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.2","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"8.2","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"18.6","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.3","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"8.3","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"37.2","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.9","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"12.9","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"80.5","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"80.5","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 11 of 14 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications.. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"NA","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 10 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"65.2","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"65.2","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 11 of 14 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications.. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"NA","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include managed care population (10 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rates were derived using both administrative and hybrid method data. 5 of 10 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.4","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"49.6","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"49.6","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. 12 of 14 MCOs calculated the measure using hybrid methodology; all MCOs are encouraged to utilize supplemental data sources, as allowable and in accordance with the associated specifications. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative \u0026 Hybrid","state_rate":"DS","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population and individuals that moved between programs, plans, or delivery systems.\u0022 Rate was derived using both administrative and hybrid method data. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"52.4","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes managed care population (10 MCOs). State reported that the rate excludes the following populations: \u0022Excludes the FFS population.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arizona","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"29.3","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Excludes the FFS population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.0","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"82.6","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.3","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.0","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"23.4","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"41.6","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"45.7","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"10.2","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"60.1","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"35.2","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.2","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.9","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.9","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"49.4","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"54.0","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.9","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"0.8","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"0.7","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that the rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"33.2","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"1.1024","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"24.4","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"11.1","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"31.1","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"0.9","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.3","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.0","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"80.0","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.6","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"73.3","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"66.7","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.2","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"50.7","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.8","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"67.9","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 4,388. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"92.1","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 4,388. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"99.6","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 4,388. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"13.3","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"11.5","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"47.0","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"38.8","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.9","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (4 MCOs). State reported that the rate excludes the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"19.5","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Arkansas","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"30.3","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (4 MCOs). State reported that rates exclude the following populations: \u0022Medicare\/Medicaid dual eligible beneficiaries.\u0022 The state described the \u0022other\u0022 population included in the measure as the following: \u0022ARHOME (Arkansas Medicaid Expansion) and Separate CHIP.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Qualified Health Plans (QHP) provider and claims data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"72.5","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan administrative data.\u0022 Rates were audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"56.4","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan administrative data.\u0022 Rates were audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"81.4","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care plan administrative data.\u0022 Rate was audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.8","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"27.7","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.5","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.5","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"34.0","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.2","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"36.5","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.5","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.5","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"62.3","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"45.9","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"37.5","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"31.2","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.3","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.1","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"62.9","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.2","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.8","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.2","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"7.2","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"64.7","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care plan administrative data.\u0022 Rate was derived using both administrative and hybrid method data. 53 of 55 (96.4%) plan reporting units used a hybrid data source, the remaining plan reporting units and all FFS reporting used administrative data. Rate was audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"NR","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan administrative data.\u0022 Rates were derived using both administrative and hybrid method data. 53 of 55 (96.4%) plan reporting units used a hybrid data source, the remaining plan reporting units and all FFS reporting used administrative data. Rates were audited or validated. State noted: \u0022The separate CHIP population is included in data reported for Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"35.8","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan administrative data.\u0022 Rates were derived using both administrative and hybrid method data. 53 of 55 (96.4%) plan reporting units used a hybrid data source, the remaining plan reporting units and all FFS reporting used administrative data. Rates were audited or validated. State noted: \u0022The separate CHIP population is included in data reported for Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.9659","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.9659","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"11.0","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"11.0","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.2","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.5","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"40.8","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"42.7","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"65.5","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"57.3","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"64.5","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"64.6","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"52.4","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"56.5","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1 \u0026 CAHPS 5.1H","state_rate":"46.1","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (23 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.7","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"20.1","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.9","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.9","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"6.4","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"38.2","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"38.3","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.8","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"2.4","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.6","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.5","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"13.6","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"11.8","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"68.2","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"68.6","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.8","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"73.6","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"73.5","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"78.1","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative","state_rate":"57.8","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plan administrative data.\u0022 Rate was audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Other","methodology":"Administrative \u0026 Hybrid","state_rate":"55.5","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (25 MCOs). The state described the \u0022other\u0022 population included in the measure as the following: \u0022Separate CHIP (Title XXI).\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed care plan administrative data.\u0022 Rate was derived using both administrative and hybrid method data. 47 of 55 (85.4%) plan reporting units used a hybrid data source, the remaining plan reporting units and all FFS reporting used administrative data. Rate was audited or validated. State noted: \u0022The separate CHIP population is included in data reported for the Medicaid population because the Managed Care Accountability adjusted rate was reported and managed care plans did not report separate CHIP separately.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"66.6","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"55.9","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.0","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.6","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"California","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"68.1","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"46.1","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"79.2","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.1","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"27.3","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"38.5","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"8.8","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"55.5","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"37.8","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"8.0","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"60.9","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.3","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS\/PCCM population has not been reported in this measure previously. However, the FFS\/PCCM population is only included in the \u0027Total\u0027 for both age groups for Initiation and Engagement. State is unable to break out the subcomponents (Alcohol Use Disorder, Opioid Use Disorder, or Other Substance Use Disorder) for the FFS\/PCCM population. The subcomponents are the state\u0027s MCO population.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.1","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"47.1","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"43.6","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"35.7","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.4","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"0.9","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"17.6","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.2","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"53.4","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"60.5","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"7.9","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"42.6","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was derived using both administrative and hybrid method data. Administrative data are used for the state\u0027s MCOs and Hybrid is used for FFS. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"26.8","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"69.5","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"0.9898","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (2 MCOs). Rates were audited or validated. State noted: \u0022State FFS and PCCM populations were not included in this measure.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"15.6","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"46.5","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.0","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.8","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"65.5","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.1","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.7","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.7","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.7","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.8","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 PCCMs and 2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"70.7","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Developmental Disabilities (DD) Waiver and Supported Living Services (SLS) Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 13,247. The state provided the following information about the sampling or survey methodology: stratified by Case Management Agency Catchment Area.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"91.0","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Developmental Disabilities (DD) Waiver and Supported Living Services (SLS) Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 13,247. The state provided the following information about the sampling or survey methodology: stratified by Case Management Agency Catchment Area.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"96.2","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Developmental Disabilities (DD) Waiver and Supported Living Services (SLS) Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 13,247. The state provided the following information about the sampling or survey methodology: stratified by Case Management Agency Catchment Area.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"16.3","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"9.0","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.9","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"2.6","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"16.1","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"65.5","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"56.5","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"41.5","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was derived using Administrative data and Electronic Clinical Data Systems (ECDS). State reported ECDS data for the FFS\/PCCM population and Administrative for the 2 MCOs. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Hybrid","state_rate":"40.6","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was derived using both administrative and hybrid method data. Administrative data are used for the MCOs and Hybrid is used for FFS. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"56.0","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"17.8","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). State reported ECDS data for the FFS\/PCCM population and Administrative data for MCOs. Of note, ECDS and Administrative data for the FFS population were almost identical. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Colorado","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative \u0026 Electronic Clinical Data Systems (ECDS)","state_rate":"23.8","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS, PCCM, and managed care populations (2 MCOs). Rates were derived using Administrative data and Electronic Clinical Data Systems (ECDS). State reported ECDS data for the FFS\/PCCM population and Administrative data for MCOs. Of note, ECDS and Administrative data for the FFS population were almost identical. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"66.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"#","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.9","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.9","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"54.4","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"31.5","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"44.3","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"40.4","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"61.2","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"44.6","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"22.8","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"59.1","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"42.1","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"42.5","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. 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Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"25.4","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"25.4","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"27.9","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"2.7","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.4","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"50.3","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.6","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"66.3","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"69.9","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"67.5","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"67.5","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"46.2","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"46.3","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"14.7","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"14.7","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"70.5","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"70.5","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"61.9","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"61.9","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"#","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"# = Rate not reported because denominator is less than 30.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"29.6","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"29.6","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"DS","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"1.4154","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.4160","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"23.8","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"13.7","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"13.8","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"0.0","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"4.1","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"8.9","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"8.9","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"48.9","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.4","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"63.3","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.5","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.3","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"64.2","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.9","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"52.5","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Waiver, Individual and Family Supports Waiver and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,793. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"87.6","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Waiver, Individual and Family Supports Waiver and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,793. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"98.3","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Waiver, Individual and Family Supports Waiver and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,793. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"23.2","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"60.6","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"3.9","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.8","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"30.5","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"16.4","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"43.8","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"49.4","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"66.7","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"7.0","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"6.9","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"29.2","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"95.3","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"95.3","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"95.0","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"89.2","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"89.2","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"87.1","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"57.7","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"60.7","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"60.7","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Hybrid","state_rate":"78.0","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"70.6","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rate includes FFS population. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate combines the Medicaid and separate CHIP data reported by the state in the QMR system. See Medicaid and separate CHIP state-specific comments for information about the data reported for each population.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"31.6","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Medicaid rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Connecticut","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Separate CHIP (Title XXI)","methodology":"Administrative","state_rate":"NA","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"NA = State reported a denominator of zero.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Separate CHIP rates include FFS population. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"55.6","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"59.2","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"41.9","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"74.8","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"34.6","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.5","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"25.6","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"36.6","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"14.1","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"39.3","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.8","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"16.9","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"51.4","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"21.0","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"54.1","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"24.9","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"32.1","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.5","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.8","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"35.6","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.8","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"62.8","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.0","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"63.2","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"33.7","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"9.2","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Hybrid","state_rate":"63.0","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Hybrid","state_rate":"52.8","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Hybrid","state_rate":"40.9","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.2070","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older","measure_abbreviation":"PQI01-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"40","mean":"15.4","median":"13.7","bottom_quartile":"18.4","top_quartile":"12.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older","measure_abbreviation":"PQI05-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"30.8","number_of_states_reporting":"37","mean":"38.8","median":"24.7","bottom_quartile":"37.2","top_quartile":"17.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 08: Heart Failure Admission Rate: Age 18 and Older","measure_abbreviation":"PQI08-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"35","mean":"25.0","median":"20.6","bottom_quartile":"36.3","top_quartile":"15.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39","measure_abbreviation":"PQI15-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"34","mean":"3.3","median":"2.7","bottom_quartile":"3.5","top_quartile":"1.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"8.8","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"50.6","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"53.0","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.3","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.4","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"67.6","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"58.9","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.6","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.4","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"NR","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"NR = State did not report the measure for this population.","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, and state funding enrollees. Funding sources include a 1915(c) waiver, state plan funding, and state funding. Total number of enrollees included in the programs is 1,604. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Delaware","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"85.1","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, and state funding enrollees. Funding sources include a 1915(c) waiver, state plan funding, and state funding. Total number of enrollees included in the programs is 1,604. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"93.5","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, and state funding enrollees. Funding sources include a 1915(c) waiver, state plan funding, and state funding. Total number of enrollees included in the programs is 1,604. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"18.1","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.0","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"39.5","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"8.5","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"15.3","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"61.4","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported the following variation: \u0022The rates are weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"61.6","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated. State reported the following variation: \u0022The rates are weighted based on the size of the measure-eligible population for each MCO.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"50.6","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"39.0","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"64.4","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"20.3","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Delaware","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"36.3","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"49.6","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"53.8","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"35.4","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"78.1","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). State reported that the rate excludes the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.3","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"59.3","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"43.9","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64 and 65+.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"54.9","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64 and 65+.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"62.6","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"76.5","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (4 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"11.3","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"55.8","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"20.9","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"29.6","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"9.7","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"33.2","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"12.0","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"77.0","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (2 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.1","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (2 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.7","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (2 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"29.0","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"DS","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"DS = Data suppressed because data cannot be displayed per the Centers for Medicare \u0026 Medicaid Services\u0027 cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"31.4","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that the rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated. State noted: \u0022Data for 2024 were impacted by Managed Care Plan change\/transition from one Plan to another in April 2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"48.8","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated. State noted: \u0022Data for 2024 were impacted by Managed Care Plan change\/transition from one Plan to another in April 2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"49.3","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated. State noted: \u0022Data for 2024 were impacted by Managed Care Plan change\/transition from one Plan to another in April 2023.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"49.5","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"7.4","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Hybrid","state_rate":"48.7","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"6.8","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"46.6","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"49.3","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"74.8","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.8","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.2","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"61.2","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"52.7","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.2","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"51.2","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"61.8","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 2,468. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"90.9","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 2,468. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"92.6","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)\/(c) waiver. Total number of enrollees included in the program is 2,468. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"21.3","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.3","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"11.5","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"43.7","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"3.5","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"13.6","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (3 MCOs). State reported that rates exclude the following population: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Hybrid","state_rate":"58.3","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claim Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"77.5","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"21.9","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Dist. of Col.","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"42.9","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: \u0022Fee-for-Service ages 21-64.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Managed Care Plans\u0027 Claims Systems.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"60.8","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (14 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.0","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.9","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"79.7","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (14 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"20.5","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"33.6","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"15.4","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"24.3","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"40.7","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.2","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"5.4","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"53.7","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"16.5","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"42.4","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"4.6","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.7","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"6.8","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"CAHPS 5.1H","state_rate":"76.5","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems and for the fee-for-service population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"CAHPS 5.1H","state_rate":"52.5","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems and for the fee-for-service population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"CAHPS 5.1H","state_rate":"46.9","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated by the state and reported in the QMR system. Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems and for the fee-for-service population.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (14 MCOs). State reported that the rate excludes the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"21.0","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.2","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"0.3","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"30.0","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"50.4","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (14 MCOs). State reported that the rates exclude the following populations: \u0022Florida received a one-year exemption from reporting this measure for individuals that moved between programs, plans, and\/or delivery systems.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"58.1","number_of_states_reporting":"44","mean":"61.6","median":"61.3","bottom_quartile":"52.6","top_quartile":"67.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.4","number_of_states_reporting":"44","mean":"63.4","median":"64.2","bottom_quartile":"56.2","top_quartile":"71.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Asthma Medication Ratio: Ages 19 to 64","measure_abbreviation":"AMR-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"57.9","number_of_states_reporting":"45","mean":"62.0","median":"62.1","bottom_quartile":"55.6","top_quartile":"68.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Avoidance of Antibiotic Treatment for Acute Bronchitis\/Bronchiolitis: Age 18 and Older","measure_abbreviation":"AAB-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis\/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"44.0","number_of_states_reporting":"45","mean":"50.1","median":"44.2","bottom_quartile":"40.0","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Concurrent Use of Opioids and Benzodiazepines: Age 18 and Older","measure_abbreviation":"COB-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"39","mean":"12.4","median":"13.1","bottom_quartile":"15.9","top_quartile":"8.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Controlling High Blood Pressure: Ages 18 to 85","measure_abbreviation":"CBP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"63.3","number_of_states_reporting":"39","mean":"55.1","median":"60.5","bottom_quartile":"48.0","top_quartile":"66.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the Health Plans.\u0022 Rate was derived using both administrative and hybrid method data. 12 plans reported using the Hybrid methodology. 2 plans reported using the Administrative methodology. Rate was audited or validated. State noted: \u0022Plans reported based on HEDIS specs (18-85), with no age breakouts.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (\u003C8.0%): Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"51.4","number_of_states_reporting":"35","mean":"44.5","median":"52.1","bottom_quartile":"33.6","top_quartile":"59.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans. Rates were derived using both administrative and hybrid method data. 11 plans reported using the Hybrid methodology. 3 plans reported using the Administrative methodology. Rates were audited or validated. State reported the following variation: \u0022Plans reported based on HEDIS specs (18-75 years), with no age breakouts.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Hemoglobin A1c Control for Patients with Diabetes: Ages 18 to 75","measure_abbreviation":"HBD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (\u003E9.0%): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"40.9","number_of_states_reporting":"37","mean":"45.8","median":"38.8","bottom_quartile":"54.5","top_quartile":"32.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans. Rates were derived using both administrative and hybrid method data. 11 plans reported using the Hybrid methodology. 3 plans reported using the Administrative methodology. Rates were audited or validated. State reported the following variation: \u0022Plans reported based on HEDIS specs (18-75 years), with no age breakouts.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Plan All-Cause Readmissions: Ages 18 to 64","measure_abbreviation":"PCR-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.0716","number_of_states_reporting":"40","mean":"1.0161","median":"0.9896","bottom_quartile":"1.1170","top_quartile":"0.9131","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Care of Acute and Chronic Conditions","reporting_program":"Adult Core Set","measure_name":"Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older","measure_abbreviation":"OHD-AD","measure_type":"Lower rates are better for this measure","rate_definition":"Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"9.6","number_of_states_reporting":"36","mean":"6.4","median":"6.4","bottom_quartile":"8.6","top_quartile":"2.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"50.8","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.8","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"75.2","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"69.7","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.2","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"72.3","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"54.9","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"60.6","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.9","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"18.8","number_of_states_reporting":"44","mean":"20.4","median":"20.8","bottom_quartile":"18.4","top_quartile":"23.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - All Women Ages 21 to 44","measure_abbreviation":"CCW-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"3.2","number_of_states_reporting":"43","mean":"3.7","median":"3.7","bottom_quartile":"3.1","top_quartile":"4.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.5","number_of_states_reporting":"41","mean":"11.1","median":"11.5","bottom_quartile":"9.1","top_quartile":"12.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"41.1","number_of_states_reporting":"41","mean":"42.5","median":"42.8","bottom_quartile":"39.1","top_quartile":"45.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"1.1","number_of_states_reporting":"38","mean":"2.6","median":"2.1","bottom_quartile":"1.4","top_quartile":"3.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Contraceptive Care - Postpartum Women Ages 21 to 44","measure_abbreviation":"CCP-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"10.5","number_of_states_reporting":"41","mean":"14.1","median":"14.1","bottom_quartile":"11.5","top_quartile":"16.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (14 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"75.6","number_of_states_reporting":"39","mean":"69.5","median":"71.8","bottom_quartile":"60.3","top_quartile":"80.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 8 plans reported using the Hybrid Methodology. 4 plans reported using the Administrative Methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Maternal and Perinatal Health","reporting_program":"Adult Core Set","measure_name":"Prenatal and Postpartum Care: Age 21 and Older","measure_abbreviation":"PPC2-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Age 21 and Older Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"73.5","number_of_states_reporting":"40","mean":"64.6","median":"64.5","bottom_quartile":"59.3","top_quartile":"73.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were derived using both administrative and hybrid method data. 8 plans reported using the Hybrid Methodology. 4 plans reported using the Administrative Methodology. Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Breast Cancer Screening: Ages 50 to 74","measure_abbreviation":"BCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Electronic Health Records","state_rate":"48.5","number_of_states_reporting":"44","mean":"48.6","median":"50.3","bottom_quartile":"44.6","top_quartile":"55.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was derived using Administrative and Electronic Health Records. Rate was audited or validated. State noted: \u0022Plans reported based on HEDIS specs (50-74), with no age breakouts.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Cervical Cancer Screening: Ages 21 to 64","measure_abbreviation":"CCS-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Women Screened for Cervical Cancer: Ages 21 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative \u0026 Hybrid","state_rate":"55.5","number_of_states_reporting":"45","mean":"48.8","median":"50.0","bottom_quartile":"42.4","top_quartile":"55.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was derived using both administrative and hybrid method data. 11 plans reported using the Hybrid methodology. 1 plan reported using the Administrative methodology. Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Chlamydia Screening in Women Ages 21 to 24","measure_abbreviation":"CHL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"67.6","number_of_states_reporting":"47","mean":"55.8","median":"56.0","bottom_quartile":"50.2","top_quartile":"63.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 50","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"23.5","number_of_states_reporting":"42","mean":"24.0","median":"22.9","bottom_quartile":"20.0","top_quartile":"26.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated. State reported the following variation: \u0022Plans reported based on HEDIS specs, 46-50 years and 51-75; The field labeled \u0027Ages 51-65\u0027 contains data for members 51-75 years.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Florida","domain":"Primary Care Access and Preventive Care","reporting_program":"Adult Core Set","measure_name":"Colorectal Cancer Screening: Ages 45 to 75","measure_abbreviation":"COL-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who had Appropriate Screening for Colorectal Cancer: Ages 51 to 65","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP","methodology":"Administrative","state_rate":"39.2","number_of_states_reporting":"39","mean":"36.3","median":"37.7","bottom_quartile":"30.3","top_quartile":"42.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (12 MCOs). State reported that rates exclude the following populations: \u0022Individuals that moved between programs, plans, and\/or delivery systems. The FFS population is not included as the state does not collect the voluntary measures for this population.\u0022 The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Data submitted by the health plans.\u0022 Rates were audited or validated. State reported the following variation: \u0022Plans reported based on HEDIS specs, 46-50 years and 51-75; The field labeled \u0027Ages 51-65\u0027 contains data for members 51-75 years.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"59.7","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"45.6","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"26.5","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"82.5","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"26.1","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"52","mean":"52.3","median":"50.7","bottom_quartile":"46.2","top_quartile":"59.2","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"16.2","number_of_states_reporting":"52","mean":"26.4","median":"25.8","bottom_quartile":"18.4","top_quartile":"32.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Substance Use: Age 18 and Older","measure_abbreviation":"FUA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"25.3","number_of_states_reporting":"52","mean":"38.1","median":"37.6","bottom_quartile":"29.3","top_quartile":"44.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"28.6","number_of_states_reporting":"52","mean":"33.0","median":"32.3","bottom_quartile":"26.8","top_quartile":"40.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Hospitalization for Mental Illness: Age 18 and Older","measure_abbreviation":"FUH-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"47.1","number_of_states_reporting":"52","mean":"52.7","median":"51.4","bottom_quartile":"43.7","top_quartile":"61.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"40.3","number_of_states_reporting":"52","mean":"42.7","median":"41.8","bottom_quartile":"38.5","top_quartile":"44.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"6.2","number_of_states_reporting":"52","mean":"13.4","median":"13.6","bottom_quartile":"8.8","top_quartile":"16.8","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"48.7","number_of_states_reporting":"52","mean":"59.0","median":"59.9","bottom_quartile":"51.6","top_quartile":"65.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"18.3","number_of_states_reporting":"52","mean":"31.4","median":"31.1","bottom_quartile":"22.7","top_quartile":"39.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"37.7","number_of_states_reporting":"52","mean":"42.8","median":"41.6","bottom_quartile":"36.5","top_quartile":"46.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"4.7","number_of_states_reporting":"52","mean":"13.8","median":"12.2","bottom_quartile":"8.4","top_quartile":"18.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"40.1","number_of_states_reporting":"52","mean":"46.0","median":"44.2","bottom_quartile":"39.9","top_quartile":"50.6","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Initiation and Engagement of Substance Use Disorder Treatment: Age 18 and Older","measure_abbreviation":"IET-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"7.2","number_of_states_reporting":"52","mean":"17.3","median":"15.7","bottom_quartile":"11.3","top_quartile":"23.5","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"73.0","median":"74.5","bottom_quartile":"69.8","top_quartile":"77.1","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"51.1","median":"52.9","bottom_quartile":"46.9","top_quartile":"55.8","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and Older","measure_abbreviation":"MSC-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"36","mean":"45.2","median":"46.2","bottom_quartile":"41.6","top_quartile":"48.7","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"CMS used two data sources for reporting this measure for the 2024 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025. The state-specific comments identify the data source for each state\u0027s rate for the 2024 Core Set.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Screening for Depression and Follow-Up Plan: Age 18 and Older","measure_abbreviation":"CDF-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage Screened for Depression and, if Positive, Provided a Follow-Up Plan: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"NPR","number_of_states_reporting":"44","mean":"4.4","median":"2.0","bottom_quartile":"0.4","top_quartile":"5.1","notes":"NPR = CMS is not publicly reporting state-specific performance rates for this measure.","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Buprenorphine: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"23.0","number_of_states_reporting":"51","mean":"41.1","median":"40.0","bottom_quartile":"32.1","top_quartile":"51.1","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Oral Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"1.7","number_of_states_reporting":"51","mean":"3.5","median":"2.5","bottom_quartile":"1.8","top_quartile":"3.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Long-acting Injectable Naltrexone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"0.4","number_of_states_reporting":"44","mean":"2.9","median":"1.4","bottom_quartile":"0.8","top_quartile":"2.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed Methadone: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"23.1","number_of_states_reporting":"49","mean":"21.2","median":"21.2","bottom_quartile":"13.9","top_quartile":"30.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64","measure_abbreviation":"OUD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX)","methodology":"Administrative","state_rate":"46.6","number_of_states_reporting":"51","mean":"59.5","median":"60.5","bottom_quartile":"49.0","top_quartile":"71.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include FFS and managed care populations (3 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022The state External Quality Review Organization (EQRO) uses the data from the Care Management Organizations\u0027 (CMOs\u0027) audited Interactive Data Submission System (IDSS) submissions as well as the data from the Performance Measure Validation (PMV) audits that the EQRO conducts for the CMOs and the state\u0027s fee-for-service (FFS) population. Performance measure rates collected via the PMV audits of populations in managed care and FFS are based on the claims\/encounters, supplemental, and enrollment data.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Needed Care, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.6","number_of_states_reporting":"46","mean":"52.0","median":"52.8","bottom_quartile":"48.1","top_quartile":"56.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected They \u0022Always\u0022 Got Care Quickly on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"57.8","number_of_states_reporting":"46","mean":"56.3","median":"56.8","bottom_quartile":"52.2","top_quartile":"60.7","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected that Their Doctor Communicates Well \u0022Always,\u0022 on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"82.4","number_of_states_reporting":"46","mean":"76.6","median":"76.1","bottom_quartile":"74.7","top_quartile":"79.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected their Health Plan Customer Service \u0022Always\u0022 Gave Helpful Information and was Courteous and Respectful, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"68.0","number_of_states_reporting":"40","mean":"68.6","median":"68.6","bottom_quartile":"65.9","top_quartile":"71.0","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Personal Doctor a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"71.4","number_of_states_reporting":"46","mean":"69.1","median":"69.5","bottom_quartile":"66.3","top_quartile":"71.5","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Specialist a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"70.9","number_of_states_reporting":"44","mean":"67.3","median":"67.3","bottom_quartile":"63.6","top_quartile":"70.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Care a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"56.3","number_of_states_reporting":"46","mean":"55.9","median":"55.9","bottom_quartile":"52.4","top_quartile":"58.9","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Rated Their Health Plan a \u00229\u0022 or \u002210\u0022 on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"59.4","number_of_states_reporting":"46","mean":"60.8","median":"61.6","bottom_quartile":"56.5","top_quartile":"65.3","notes":"","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Experience of Care","reporting_program":"Adult Core Set","measure_name":"CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Age 18 and Older","measure_abbreviation":"CPA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage who Selected Their Personal Doctor \u0022Always\u0022 Seemed Informed and Up-to-Date about Care from Other Providers, on a Four-Point Scale Ranging from \u0022Never\u0022 to \u0022Always\u0022: Age 18 and Older","core_set_year":"2024","population":"Medicaid","methodology":"CAHPS 5.1H","state_rate":"#","number_of_states_reporting":"42","mean":"58.7","median":"59.3","bottom_quartile":"56.4","top_quartile":"62.9","notes":"# = Rate not reported either because fewer than 100 beneficiaries responded to the survey or because fewer than 20 beneficiaries provided the selected response option (e.g., 9 or 10 for rating measures, \u0022always\u0022 for composite measures).","source":"Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2023 to June 2024 data collection period as of January 28, 2025.","statespecific_comments":"Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","rate_used_in_calculating_state_mean_and_median":"No"},{"state":"Georgia","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"72.6","number_of_states_reporting":"26","mean":"62.0","median":"62.9","bottom_quartile":"60.1","top_quartile":"69.3","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and state funded services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 10,713. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"92.8","number_of_states_reporting":"30","mean":"90.0","median":"90.9","bottom_quartile":"87.1","top_quartile":"92.8","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and state funded services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 10,713. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Georgia","domain":"Long-Term Services and Supports","reporting_program":"Adult Core Set","measure_name":"National Core Indicators Survey: Age 18 and Older","measure_abbreviation":"NCIIDD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to Go Somewhere","core_set_year":"2024","population":"Medicaid","methodology":"NCI In-Person Survey","state_rate":"95.1","number_of_states_reporting":"30","mean":"93.7","median":"94.6","bottom_quartile":"93.6","top_quartile":"96.9","notes":"","source":"Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2023 to June 30, 2024 data collection period, corresponding to the 2024 Adult Core Set, as of May 8, 2025.","statespecific_comments":"Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and state funded services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 10,713. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF\/IID are excluded from this sample.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and Older","measure_abbreviation":"SAA-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and Older","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"69.2","number_of_states_reporting":"52","mean":"61.3","median":"61.2","bottom_quartile":"57.4","top_quartile":"66.3","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"64.9","number_of_states_reporting":"52","mean":"61.2","median":"61.1","bottom_quartile":"55.5","top_quartile":"66.7","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Antidepressant Medication Management: Age 18 and Older","measure_abbreviation":"AMM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"46.0","number_of_states_reporting":"52","mean":"42.0","median":"42.1","bottom_quartile":"34.9","top_quartile":"46.9","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plans.\u0022 Rates were audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64","measure_abbreviation":"SSD-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"72.6","number_of_states_reporting":"52","mean":"77.4","median":"77.8","bottom_quartile":"74.7","top_quartile":"81.4","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rate includes managed care population (5 MCOs). The state described the \u0022other\u0022 data sources used to calculate the measure as the following: \u0022Health Plan.\u0022 Rate was audited or validated.","rate_used_in_calculating_state_mean_and_median":"Yes"},{"state":"Hawaii","domain":"Behavioral Health Care","reporting_program":"Adult Core Set","measure_name":"Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older","measure_abbreviation":"FUM-AD","measure_type":"Higher rates are better for this measure","rate_definition":"Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 18 to 64 ","core_set_year":"2024","population":"Medicaid (Title XIX), Title XXI-funded Medicaid Expansion CHIP, Individuals Dually Eligible for Medicare and Medicaid","methodology":"Administrative","state_rate":"29.4","number_of_states_reporting":"52","mean":"38.1","median":"35.3","bottom_quartile":"28.9","top_quartile":"45.0","notes":"","source":"Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2024 Core Set as of April 28, 2025.","statespecific_comments":"Rates include managed care population (5 MCOs). 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